Podcast
Stephanie Ewals
How can I put my Hashimoto's in to remission if ...

Welcome to episode 52. I can’t believe I made it a year. I’m grateful you are listening. I suppose I should have done something to celebrate a year of podcasting but I have a crap ton of work to do for school this week which is generating a fair amount of stress for me so one day I will get it together and do some kind of giveaway. 


I have been monitoring my blood sugar levels for the last few days because I have really been struggling with some symptoms of blood sugar dysregulation. It turns out that my body is not so much appreciating the morning protein shake, especially when it is made with raw cacao. The caffeine from that alone is causing me to get a jittery feeling. I did much better with a meal of chicken and cabbage for breakfast yesterday with more stable blood sugar all through out the day. 


I am hoping to get a handle on this so my adrenals can have a break and I can gain some muscle. I’m finally able to get some exercise in after my broken collarbone. 


Okay- on to a listener question


Hi Stephanie


I get confused with all the varying things I am reading about Hashi's, in particular how can my Hashi's be put into remission when  technically it has burnt out?  I am hoping you can shed some light on this for me, please.


Good luck with your studies - I know how much work goes into a Masters Degree.  


Many thanks

Kind Rgards

Dorothy W 


There are varying degrees of damage done to your thyroid when you have Hashimoto’s. The longer you go with inflammation in the body that creates higher antibodies you may have more damage done to your thyroid leaving it unable to produce hormone. 


When you are putting Hashimoto’s in to remission you are putting out the inflammatory fire that is causing your body to be out of balance. That inflammation will be different for everyone and it will cause your thyroid to be damaged but how long it takes to put your autoimmune disease in to remission depends on how much damage was done and how long you have gone before you started making changes to your health. 


It can often be diet changes that will bring antibodies down and put your disease in to remission. Often times though, you will need to do more than just a few simple diet changes. 


Food is information for our cells. What you put in your body matters. Processed foods are basically dead foods. They have no good information for our cells to take in to build healthy tissues which build healthy organs which build healthy systems which build a healthy person or organism. 


So food is important. What you eat is important and the quality of that food is equally important. It can be expensive to eat healthy, especially if you are buying any amount of convenience “health food” such as gluten free crackers or breads or lunch meat that is of higher quality. 


It is time consuming to cook healthy foods especially if you get caught up in all the fun stuff so many food bloggers are making. I don’t have time for complicated dishes so I don’t make them. I made venison steak bites seasoned with Redmond Real Seasoned Salt, and pepper cooked in coconut oil and I steamed broccoli and sauteed Brussels sprouts in olive oil and added minced garlic at the end with some lemon juice. I added a side of my homemade sauerkraut and that was it. The night before I had chicken breast cooked in a cast iron skillet and roasted cabbage. 


Real whole clean foods are a good place to start to put your disease in to remission. 


You also have to look at what your blood sugar is like. If you have blood sugar dysregulation you will likely still be dealing with inflammation and thyroid issues even if your diet is perfect. 


Do you wake up a few hours after falling asleep (or between 1-3am) and find it hard to get back to sleep?

Do you crave sweet things?

Do you have binge type eating  or uncontrolled eating?

Do you feel like your appetite is excessive?

Do you crave coffee or sugar in the afternoon?

Do you get sleepy in the afternoon or after a meal?

Does your fatigue get relieved by eating?

Do you get a headache or feel shaky if meals or skipped or delayed?

Do you get irritable or hangry before meals?


These are all signs you need to work on balancing your blood sugar which can be done with diet but also lifestyle changes because it isn’t only food that causes a rise in blood sugar. 


Lack of food, low blood sugar in the morning or not eating soon enough in the morning can cause your adrenals to have to get involved in raising blood sugar- a cortisol release and then you have an insulin surge and maybe you are insulin resistant and you are then storing fat because insulin is a fat storage hormone. 


Some therapeutic foods for blood sugar regulation include: 

asparagus

avocado

soaked and sprouted beans

brewers yeast

broccoli

brussels sprouts

butter

carrots

cauliflower

eggs

full fat dairy

kale

liver

onions

peas

pecans

salmon

seaweed

sweet potato

tomatoes


These foods and others have the very important B vitamins which are so important in blood sugar regulation as well as some amino acids and other compounds that help promote insulin to do its job as well as maintain hormone balance. 


You won’t be able to put Hashimoto’s in to remission if you have low iron stores- ferritin. So have a full iron panel done at the lab. the lab range for ferritin is ridiculous. It is like 17-80 or something. Most people with thyroid issues feel better with ferritin in the higher range. 


You also won’t put Hashimoto’s in to remission if you are dealing with adrenal insufficiency or hpa axis dysfunction. Your adrenal glands have many roles, one of which is to manage blood sugar. Another is to manage stress. So if you are having fights in your head with your parter or spouse, your mom or whoever, if you get really mad in traffic or have a lot going on and zero support you will likely be dealing with some kind of adrenal issue. 


If you tend to be a night person- you get a second wind later in the evening and have trouble falling asleep and then are slow to start in the morning. 

If you feel keyed up and can’t calm down. 

Higher or lower than normal blood pressure, get dizzy when standing up. 

Feel wired or jittery after drinking coffee. Caffeine is one of the worst things you can do for your adrenal health, especially if you are dealing with some kind of adrenal imbalance which most of us are. 

If you get a headache after exercising- I had a friend who this happened to and she never could figure out why this was. I wonder now if she wasn’t dealing with adrenal issues. My guess is yes based on knowing a bit about her life. 

Do you clench or grind your teeth? 

Do you crave salt or salt your food before you taste it?

Do you have chronic low back pain that gets worse with fatigue?

Have chronic fatigue or get drowsy or tired often or easily?

Do you get a headache in the afternoon or yawn a lot?


These are all signs you may be needing to do some work on your adrenal glands. 


Making sure you eat a meal with protein in the morning within an hour of waking will help your adrenals heal. Also make sure that you are getting plenty of rest and doing some gentle exercise along with a no sugar diet for a few weeks will help your adrenals reset. 


There may be some burn out in your thyroid or damage. You may need medication for the rest of your life but you are not resigned to a life of fatigue and general malaise. 


In my functional medicine training we are talking about making the whole person better- mind, body and spirit.  One cannot work great without the other two in balance as well. 


You can feel better and you deserve to feel better. This disease ruins so many lives but we don’t have to let it. 


You can take charge of your health. This is what I most passionate about. Take charge of how you perceive your illness. Do not let it be who you are. This is so important. 


I spent a lot of years hiding behind my disease and letting it define me. My kids got a sick mom. They also got a mom who for years let that sickness be her excuse until one day I woke up and wanted more. 


I wanted a better life. I took that to an extreme for awhile too and now I have finally found some balance. I am less dogmatic with myself and am okay with the choices I am making in food and in life. 

It is a process and takes some time to figure out- which can all depend on your life view and what kinds of baggage you took from your childhood and all that stuff. 


Getting well is a bit of a process but it can be done. Of course it is much easier when you have support from those around you and the energy to get started but it doesn’t have to all change over night. Baby steps can be just the right place to start. 


And one more thing about diet. The autoimmune protocol is a wonderful diet. Elimination diets in general are the best way to figure out which foods your body doesn’t really do well with. They are not the be all end all. You don’t have to stress about doing it. Start with what you are comfortable with but also know that healing may take longer if you are consuming things that inflame your body. The stress of trying to change your life can also cause inflammation so do it in a way that works for you and don’t compare your journey to any one else’s. We are bio individuals and so is our healing. 


Thanks for writing in. I thank you for that. If you have any questions about this episode please head over to helpforhashimotos.com and leave a comment on episode 52. 

I’m not loving how the social media outlets are banning some people these days because they don’t align with big pharma or big food companies.


 People are starting to notice that these big companies care much less about our health and more about profits no matter the expense of the people consuming or being forced to use their products. 


Nothing wrong with making a profit but there is a lot wrong with the integrity of some of these big companies and people are standing up for their health and changing the marketplace. 


Please continue to do that. Stand up for what you believe no matter what side you are on and have a conversation about your side rather than slinging mud at others. We can’t change the world with mud but we can agree to disagree. 


So anyway, I don’t have a big social media presence and not many of you would miss me if I disappeared off of social media. I encourage you to take a break from it as well. Spend time looking at the sunset instead of scrolling at pictures of one. Go for a hike or a walk with someone you love instead of texting them. Go to someone’s website instead of their facebook page. 


You have the power to change the way things are done in this world and because it is money that rules the world, choose wisely where you spend yours. 


Thanks for listening. 


Find me at helpforhashimotos.com or email me at helpforhashimotos@gmail.com or fill out the contact form on my website. 


Have a great week. 



A listener writes in asking about the possibility of remission from Hashimoto's. 

How can I put my Hashimoto's in to remission if my thyroid is burnt out? We discuss the ways we can start to put our disease back in to remission. We discuss blood sugar and adrenals and eating real food but not being dogmatic.

How can I put my Hashimoto's in to remission if my thyroid is burnt out?

does nutrifol work

Nutrifol for Hair Loss in Hypothyroidism

Nutrifol for hair loss from hypothyroidism?

The short answer is no.

Here’s the long reason why.

If you are not familiar with Nutrifol, I’ll fill you in. I don’t watch a lot of regular tv but do watch some streaming services and I often see commercials for Nutrifol for hair growth.

I am always skeptical of things like this mostly because I have been sold supplements by practitoners I saw over the years that did absolutely nothing for me.

They state they use medical grade natural ingredients to target the root causes of thinning hair such as stress, lifestyle, and nutrition. Taking their product is suppose to give you quicker hair growth, and fuller, stronger, thicker hair.

I’ll have a screen shot of the ingredients with the transcript on my website. You can search for episode 116 or Nutrifol to find it.

Some of the ingredients include:

Biotin.

This does build healthy hair. Chicken & beef liver and egg yolks are best sources of this important nutrient. You only need 100mg/day per 100g of protein that you consume and most of us don’t get 100g of protein per day. I try really hard to get 100mg of protein per day and most days I only get in about 50g. You have to be really intentional with EVERYTHING you eat to get this much in. Nutrifol has 3000mcg or 300mg. In high amounts this isn’t toxic but can interfere with absorption of B5 and lipoic acid. High doses can also cause your bloodwork to present false positive results.

Nutrifol label

Read labels on everything so you know what you are putting in your body.


Vitamin C.

This helps manage stress by providing this nutrient to the adrenals. For hair, it contributes to our hair pigment and prevents gray hair or at least makes our hair more resistant to turning gray.


Fresh fruits and veggies are great sources. 100-200mg in supplement form may be needed if you don’t eat a lot of fresh fruits and veggies.

Essential Fatty Acids.

This supplement contains fish but it doesn’t really list how much. Deficiency in omega 6 fatty acids can result in hair loss. The best way to get your omega 6’s is to eat 2 egg yolks or 100g of liver each day. Fish oil is not what you need for the purpose of keeping your hair thicker and fuller.

Iodine.

RDA for iodine is 150mcg/day. Nutrifol has 225mcg. If you have Hashimoto’s or Grave’s disease, taking iodine even at this amount can increase your antibodies and an autoimmune attack on your thyroid.

Iron.

Not in this supplement but deficiencies and excesses can cause hair loss.

Selenium.

The ultimate thyroid supplement touted by everyone on the internet as something you need if you have thyroid problems. Selenium helps us manage stress but too much can cause your hair to fall out and it may raise your risk of diabetes and cancer. Measure blood levels before taking selenium in supplement form. Optimal levels in plasma are between 90-140 ng/mL for most people. Amounts in food vary depending on the content of the soil where the plants were growing and where the animals were eating.

Zinc.

Deficiency early in life can lead to impaired hair growth. Supplements help with decreasing infection, inflammation, and oxidative stress.  Oysters, and red meat are the best sources.

Vitamin E.

This should always be given in a combo of all forms or tocotrienols, not just a single form like in Nutrifol which contains only alpha-tocopherol but in a small dose.


Horsetail.

This has silica in it and has been shown to improve hair luster and may prevent the rate at which your hair falls out. It is the silica that does this and horsetail is said to have high concentrations. Fiji water also has a fair amount of silica in it.

Japanese Knotweed.

This is a good source of resveratrol and is an invasive species plant. It is used in traditional Chinese medicine to aid in GI health and circulatory health. There is zero info that I could find on hair growth or preventing hair loss for this particular plant. It is the resveratrol I believe that is the key here as it is an antioxidant. Antioxidants help protect cells from damage. Blueberries are also antioxidants!

Solubilized Keratin.

This provides amino acids to replace the keratin lost as we age. It may reduce fine lines and depth of wrinkles- I’m all for that! 500mg along with zinc, B3, Copper, B5, B6, and biotin in a 2010 study improved the quality of the human hair shaft creating smoother, shinier hair and reduced the number of hairs lost during washing. This info on keratin, came from a supplement company- just so you know. I’m a little leary of the info when it comes from supplement companies because their whole purpose is to sell you said supplement.

Nutrifol has a blend of 530mg in 4 capsules of amino acids, keratin, horsetail, and knotweed.

Now I want to talk to you about supplements. The supplement industry is a $39 billion industry with over 166 million Americans using them each year. There are around 85,000 supplement products on the market with 1000 new products coming to market each year.

23,000 ER visits are attributed to supplement use each year but side note there are over 730,000 yearly ER visits associated with adverse events to the medical use of prescription drugs. So there is a .015% chance that a supplement will send you to the ER. I still recommend not guessing at what you need to be taking and work with someone who will honestly tell you what you might need.

I’ll give you just a quick history of the regulation of supplements.

The Harrison Narcotic Act of 1914 required narcotics to only be sold through a prescription. In 1927 the Bureau of Chemistry split into the Food Drug and Insecticide Administration and the Bureau of Chemistry and Soil.

In 1930 The Food Drug and Insecticide Administration became the FDA.

In 1938 the Food Drug and Cosmetic Act said that the FDA should oversee cosmetics and therapeutic device and Homeopathic remedies became regulated under this act.

The definition of a drug became anything intended to effect the structure and function of the body and anything intended to diagnose or treat.

In 1958 the Food Additives Amendment created a list of things that are Generally Regarded As Safe (GRAS).

In 1966 the Fair Package and Labeling Act required warning labels of supplements and banned the ability to make health claims with regard to dietary deficiency. Any supplement with more than 150% RDA were to be considered drugs.

The 1976 Proxmire Bill prohibited the FDA from regulating vitamins and minerals as prescription drugs. The 1994 Dietary Supplement Health and Education Act provided a regulatory framework for the supplement industry authorizing the FDA to come up with Good Manufacturing Practices and classified supplements and dietary ingredients as foods, not drugs.

The FDA monitors supplement safety, regulates labeling and claims on products and there is no authoritative list of supplement ingredients before October 15, 1994. The manufacturers of supplements are responsible for determining if an ingredient in their product is a new ingredient.

There was an investigation by the NY Attorney General in 2015 looking at several different supplements sold at 4 major retailers. The majority of these supplements did not even contain the herb listed on the ingredients label. They had powdered rice, asparagus and even houseplants in them but not the thing they were supposed to have.

In addition, a 2010 report found that a liquid selenium supplement had over 40,000 micrograms per dose instead of the 200mcg the label claimed.

Good Manufacturing Practices do not apply to raw materials suppliers. You may have heard me say that the higher quality supplement companies have 3rd party testers making sure the raw materials brought to their docks are free of heavy metals and other contaminants. If they are not, they are sent away for some other company to buy. There is no guideline for what contamination levels are acceptable. Good manufacturing Practices don’t address absorption, dissolution, or bioavailability. The companies that are for use by practitoners only do third party testing and voluntary quality control. Some of these certifications are USP, NSF, and Consumer Labs.

I am not saying that Nutrifol is shady at all. I want to be clear. I just think that at $79 per month for a 30 day supply is a bit much. Pure Encapsulations Hair/Skin/Nails Ultra is $43.99 for a 30 day supply which is about half the price. I’m sure Nutrifol is so expensive because they have a fabulous website and they do a lot of advertising.

You can sign up for an account at my dispensary https://us.fullscript.com/welcome/hfh and get 10% off all your supplements. But please, don’t buy a bunch of supplements hoping they will fix your problem. Supplements for the most part are either bandaids to your root cause or are needed for a time period to replenish your deficiencies and help your body heal.

If you would like to do a supplement review I’m happy to help you with that. An hour and half consult would be needed to do that. You can reach out by emailing me and I’ll send you a link to make an appointment for that. The cost is $295.

You can also schedule a discovery call at helpforhashimotos.com click on the get help and then book appointment. You will be on your way to feeling better, having more energy and getting off the sidelines of your life in no time!


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Thanks for tuning in. I so appreciate you guys. Please leave a rating and or review at apple podcasts so more people can find the show and get help.

You can also download my new ebook, The Definitive Guide to Hashimoto’s when you sign up for my email list.

Link to FDA Warning Letters Search https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters